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ARCHAMBAULT INSURANCE, INC.

Company Details

Entity Name: ARCHAMBAULT INSURANCE, INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 17 Jan 1968
Date of dissolution: 18 Dec 2015
Business ALEI: 0002686
Annual report due: 29 Jan 2015
Business address: 2 N. MAIN STREET, CHESTER, CT, 06412
Mailing address: ARCHAMBAULT INSURANCE, INC. P.O. BOX C, CHESTER, CT, 06412
ZIP code: 06412
County: Middlesex
Place of Formation: CONNECTICUT
Total authorized shares: 2000
E-Mail: tom@archambaultinsurance.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ARCHAMBAULT INSURANCE, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2014 060842103 2015-07-27 ARCHAMBAULT INSURANCE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-11-02
Business code 524210
Sponsor’s telephone number 8605269587
Plan sponsor’s address PO BOX C, CHESTER, CT, 06412

Signature of

Role Plan administrator
Date 2015-07-24
Name of individual signing RAYMOND ARCHAMBAULT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-24
Name of individual signing RAYMOND ARCHAMBAULT
Valid signature Filed with authorized/valid electronic signature
ARCHAMBAULT INSURANCE, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2014 060842103 2015-05-05 ARCHAMBAULT INSURANCE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-11-02
Business code 524210
Sponsor’s telephone number 8605269587
Plan sponsor’s address BOX C, CHESTER, CT, 06412

Signature of

Role Plan administrator
Date 2015-05-04
Name of individual signing RAYMOND ARCHAMBAULT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-04
Name of individual signing RAYMOND ARCHAMBAULT
Valid signature Filed with authorized/valid electronic signature
ARCHAMBAULT INSURANCE, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2013 060842103 2014-10-13 ARCHAMBAULT INSURANCE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-11-02
Business code 524210
Sponsor’s telephone number 8605269587
Plan sponsor’s address BOX C, CHESTER, CT, 06412

Signature of

Role Plan administrator
Date 2014-10-11
Name of individual signing RAYMOND ARCHAMBAULT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-11
Name of individual signing RAYMOND ARCHAMBAULT
Valid signature Filed with authorized/valid electronic signature
ARCHAMBAULT INSURANCE, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2012 060842103 2013-10-09 ARCHAMBAULT INSURANCE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-11-02
Business code 524210
Sponsor’s telephone number 8605269587
Plan sponsor’s address BOX C, CHESTER, CT, 06412

Signature of

Role Plan administrator
Date 2013-10-08
Name of individual signing RAYMOND ARCHAMBAULT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-08
Name of individual signing RAYMOND ARCHAMBAULT
Valid signature Filed with authorized/valid electronic signature
ARCHAMBAULT INSURANCE, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2011 060842103 2013-04-26 ARCHAMBAULT INSURANCE, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-11-02
Business code 524210
Sponsor’s telephone number 8605269587
Plan sponsor’s address BOX C, CHESTER, CT, 06412

Plan administrator’s name and address

Administrator’s EIN 060842103
Plan administrator’s name ARCHAMBAULT INSURANCE, INC.
Plan administrator’s address BOX C, CHESTER, CT, 06412
Administrator’s telephone number 8605269587

Signature of

Role Plan administrator
Date 2013-04-24
Name of individual signing RAYMOND ARCHAMBAULT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-24
Name of individual signing RAYMOND ARCHAMBAULT
Valid signature Filed with authorized/valid electronic signature
ARCHAMBAULT INSURANCE, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2010 060842103 2012-08-07 ARCHAMBAULT INSURANCE, INC. 10
Three-digit plan number (PN) 001
Effective date of plan 1968-11-02
Business code 524210
Sponsor’s telephone number 8605269587
Plan sponsor’s address BOX C, CHESTER, CT, 06412

Plan administrator’s name and address

Administrator’s EIN 060842103
Plan administrator’s name ARCHAMBAULT INSURANCE, INC.
Plan administrator’s address BOX C, CHESTER, CT, 06412
Administrator’s telephone number 8605269587

Signature of

Role Plan administrator
Date 2012-08-06
Name of individual signing RAYMOND ARCHAMBAULT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-06
Name of individual signing RAYMOND ARCHAMBAULT
Valid signature Filed with authorized/valid electronic signature
ARCHAMBAULT INSURANCE, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2010 060842103 2012-12-26 ARCHAMBAULT INSURANCE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-11-02
Business code 524210
Sponsor’s telephone number 8605269587
Plan sponsor’s address BOX C, CHESTER, CT, 06412

Plan administrator’s name and address

Administrator’s EIN 060842103
Plan administrator’s name ARCHAMBAULT INSURANCE, INC.
Plan administrator’s address BOX C, CHESTER, CT, 06412
Administrator’s telephone number 8605269587

Signature of

Role Plan administrator
Date 2012-12-21
Name of individual signing RAYMOND ARCHAMBAULT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-12-21
Name of individual signing RAYMOND ARCHAMBAULT
Valid signature Filed with authorized/valid electronic signature
ARCHAMBAULT INSURANCE, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2009 060842103 2011-05-09 ARCHAMBAULT INSURANCE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-11-02
Business code 524210
Sponsor’s telephone number 8605269587
Plan sponsor’s address BOX C, CHESTER, CT, 06412

Plan administrator’s name and address

Administrator’s EIN 060842103
Plan administrator’s name ARCHAMBAULT INSURANCE, INC.
Plan administrator’s address BOX C, CHESTER, CT, 06412
Administrator’s telephone number 8605269587

Signature of

Role Plan administrator
Date 2011-05-09
Name of individual signing RAYMOND ARCHAMBAULT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-09
Name of individual signing RAYMOND ARCHAMBAULT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address E-Mail Residence address
HARRY RAYMOND ARCHAMBAULT Agent 2 NO. MAIN ST, CHESTER, CT, 06412, United States tom@archambaultinsurance.com 8 NO. MAIN ST, CHESTER, CT, 06412, United States

Officer

Name Role Business address Residence address
THOMAS D. ARCHAMBAULT Officer 2 N. MAIN ST., CHESTER, CT, 06412, United States 8 NORTH MAIN STREET, CHESTER, CT, 06412, United States
HARRY ARCHAMBAULT Officer 2 N. MAIN ST., CHESTER, CT, 06412, United States 1556 SAYBROOK ROAD, APT. 231, HIGGANUM, CT, 06438, United States
RAYMOND E. ARCHAMBAULT Officer 2 N. MAIN ST., CHESTER, CT, 06412, United States 2 OLD COUNTY ROAD, CHESTER, CT, 06412, United States

History

Type Old value New value Date of change
Name change HARRY ARCHAMBAULT INSURANCE, INC. ARCHAMBAULT INSURANCE, INC. 1975-01-09

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0005450710 2015-12-18 2015-12-18 Dissolution Certificate of Dissolution No data
0005019817 2014-01-14 No data Annual Report Annual Report 2014
0005007604 2013-12-26 No data Annual Report Annual Report 2013
0004494523 2012-01-03 No data Annual Report Annual Report 2012
0004377799 2011-01-07 No data Annual Report Annual Report 2011
0004119263 2010-01-25 No data Annual Report Annual Report 2010
0003844041 2009-01-09 No data Annual Report Annual Report 2009
0003644127 2008-02-14 No data Annual Report Annual Report 2008
0003379541 2007-01-19 No data Annual Report Annual Report 2007
0003158837 2006-01-25 No data Annual Report Annual Report 2006

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website